| Four County Psychological Associates, Pa | |
|
568 Ruin Creek Rd Jenkins Bldg. Suite 004 Henderson NC 27536-2880 | |
| (252) 430-1639 | |
| Not Available |
| Full Name | Four County Psychological Associates, Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 568 Ruin Creek Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Stephanie Willis Hoyt (PRESIDENT) |
| Authorized Official Contact | 2524301639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four County Psychological Associates, Pa 568 Ruin Creek Rd Jenkins Bldg. Suite 004 Henderson NC 27536-2880 Ph: (252) 430-1639 | Four County Psychological Associates, Pa 568 Ruin Creek Rd Jenkins Bldg. Suite 004 Henderson NC 27536-2880 Ph: (252) 430-1639 |
| NPI Number | 1396804340 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396804340 | NPI | - | NPPES |
| 6000511 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2590 (North Carolina) | Primary |
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